Early loading in the posterior mandible

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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Pre-op panorama

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Intra-oral photograph

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Incision

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Flap reflection

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3 external implants (CMI EB) were placed with 40Ncm of insertion torques in that area.

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Healing abutments were connected to the fixtures.
Autogenous bone chips harvested from the adjacent ridge area was grafted in the defect.


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Non-submerged approach was done and the wound margins were closed with sutures.

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Postoperative panoramic radiograph showing 3 implants placed in the mandibular right posterior area.

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An impression was made with pickup impression coping 6 weeks after the surgery.

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A definitive 4 unit SCRP prosthesis was delivered 8 weeks after implants placement.

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Lateral view of right mandible after treatment. 

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Radiograph taken on the day of final restoration.

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Panoramic view after delivery of the prosthesis.  

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A month of follow-up after delivery of final prosthesis. 

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8 months of follow-up panoramic view.

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One and a half years of follow-up panoramic view. 

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4 year follow-up on the final prosthesis

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4 year follow-up on the final prosthesis

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4 year follow-up on the final prosthesis

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8 year follow-up on the final prosthesis 

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8 years postoperative panoramic radiograph showing well maintained implants without any noticeable bone loss.

This case presents 3 external implants (CMI EB) were placed with 40Ncm of insertion torque values on the edentulous mandibular right quadrant and a definitive 4 unit SCRP prosthesis delivered 8 weeks after implants placement.

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